Sangre de Cristo Community Care LLC

The agency failed to ensure each patient received care as ordered by their physician in 1 of 12 active patient records reviewed (Patient #1).

The agency failed to alert relevant physician(s) or allowed practitioner(s) to any changes in the patient's condition or needs that the plan of care should be altered in 1 of 12 active patient records reviewed (Patient #2).

The agency failed to assure communication with all physicians or allowed practitioners involved in the plan of care for nine out of 17 records reviewed (Patients #1, #2, #3, #4, #6, #9, #12, #14, and #15).

The agency failed to ensure staff followed accepted standard infection control practices to prevent the transmission of infections and communicable diseases for 1 of 1 patient during a medication set up (Patient #3).

The agency failed to ensure a registered nurse (RN) conducted an initial assessment visit to determine the immediate care and support needs of the patients within 48 hours of referral for 3 of 6 active patient records reviewed (Patients #1, #2, and #7), and for 1 of 1 patient record reviewed who…

The agency failed to ensure each patient's status was comprehensively assessed the last five days of every 60-day period for 1 of 1 pediatric patient who was on service more than 60 days (Patient #7).

The agency failed to ensure the patient's clinical record contained current and accurate documentation of clinical notes, Plans of Care and physician's orders for 7 of 10 patient records reviewed (Patients #2, #3, #4, #5, #6, #7, and #10).